Comparative effectiveness of traumatic brain injury rehabilitation: differential outcomes across TBI model systems centers.

J Head Trauma Rehabil

Baylor Institute for Rehabilitation, Baylor Health Care System, Dallas, Texas (Drs Dahdah, Barisa, Dubiel, and Wilson); Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, TX (Ms Schmidt and Drs Barnes and Shafi); North Texas Traumatic Brain Injury Model Systems Center, Dallas, Texas (Drs Dahdah, Barisa, Dubiel, Wilson, Diaz-Arrastia, and Shafi and Mss Dunklin, Harper, and Callender); Department of Neurology, University of Texas Southwestern Medical Center, Dallas, (Dr Diaz-Arrastia); and Center for Neuroscience and Regenerative Medicine, Uniformed Services University of the Health Sciences, Rockville, Maryland (Dr Diaz-Arrastia).

Published: May 2015

Objective: To measure patient functional outcomes across rehabilitation centers.

Setting: Traumatic Brain Injury Model System (TBIMS) centers.

Participants: Patients with traumatic brain injury (TBI) admitted to 21 TBIMS rehabilitation centers (N = 6975, during 1999-2008).

Design: Retrospective analysis of prospectively collected data.

Main Measures: Center-specific functional outcomes of TBI patients using Functional Independence Measure, Disability Rating Scale, and Glasgow Outcome Scale-Extended.

Results: There were large differences in patient characteristics across centers (demographics, TBI severity, and functional deficits at admission to rehabilitation). However, even after taking those factors into account, there were significant differences in functional outcomes of patients treated at different TBIMS centers.

Conclusion: There are significant differences in functional outcomes of TBI patients across rehabilitation centers.

Download full-text PDF

Source
http://dx.doi.org/10.1097/HTR.0b013e3182a61983DOI Listing

Publication Analysis

Top Keywords

functional outcomes
16
traumatic brain
12
brain injury
12
outcomes tbi
12
rehabilitation centers
8
tbi patients
8
differences functional
8
functional
6
rehabilitation
5
outcomes
5

Similar Publications

Importance: Gestational hypertension, preeclampsia, and eclampsia are established risk factors for stroke and dementia later in life. Whether these pregnancy complications are associated with an increased risk of new-onset neurological disorders within months to years after giving birth is not known.

Objective: To explore whether gestational hypertension, preeclampsia, and eclampsia are associated with new-onset migraine, headache, epilepsy, sleep disorder, or mental fatigue within months to years after giving birth.

View Article and Find Full Text PDF

Patterns of Social Connection Among Older Adults in England.

JAMA Netw Open

December 2024

Department of Behavioural Science and Health, Institute of Epidemiology and Health Care, University College London, London, United Kingdom.

Importance: Issues related to social connection are increasingly recognized as a global public health priority. However, there is a lack of a holistic understanding of social connection and its health impacts given that most empirical research focuses on a single or few individual concepts of social connection.

Objective: To explore patterns of social connection and their associations with health and well-being outcomes.

View Article and Find Full Text PDF

Social Determinants of Health, Blood Pressure Classification, and Incident Stroke Among Chinese Adults.

JAMA Netw Open

December 2024

Hypertension Laboratory, Cardiovascular Disease Center of Guangdong Province, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.

Importance: Although cumulative evidence suggests that higher blood pressure (BP) and a greater burden of social determinants of health (SDOH) are associated with an increased risk of stroke, few studies have examined whether SDOH burden modifies the association between BP and stroke risk.

Objective: To evaluate whether the association between BP classification and stroke risk differs by SDOH burden among Chinese adults.

Design, Setting, And Participants: In this cohort study, analyses were conducted among 90 850 participants in the prospective subcohort of the China Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project, with recruitment from January 1, 2016, to December 31, 2020.

View Article and Find Full Text PDF

Objective: The aim was to assess fertility, sexual function and sexual quality of life in males with Hirschsprung's disease (HSCR) in the Nordic countries with a cross-sectional study using self-reported validated questionnaires.

Summary Background Data: Data on fertility and sexual function in males with HSCR are limited.

Methods: This multi-center study targeted all males born between 1970-2003 who underwent pull-through surgery at a pediatric surgery center in Sweden, Denmark, Norway, or Finland.

View Article and Find Full Text PDF

Inflammation in the Peri-ACS Period: Ready for Prime Time?

Curr Atheroscler Rep

December 2024

Department of Medicine, Division of Cardiology, New York University Langone Medical Center, NYU Langone Health System, 550 1st Ave, New York, NY, 10010, USA.

Inflammation has been demonstrated to negatively impact patients in the peri-ACS period. This narrative review outlines the inflammatory response in ACS, highlighting the role of the NLRP3 inflammasome pathway following acute plaque rupture and coronary intervention and its potential as a pharmacologic target. RECENT: nvestigators have leveraged medications targeting the NLRP3 inflammasome currently used for other inflammatory pathologies, including colchicine, tocilizumab and anakinra.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!